ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

Coeliac disease is an immune reaction to:

1. AShellfish
2. BGluten
3. CLactose
4. DPeanuts

สัญญาณใดเป็นลักษณะของหัวใจล้มเหลวด้านซ้าย?

1. Aหายใจลำบาก โดยเฉพาะเมื่อนอนราบ
2. Bผิวหนังและตาขาวเหลือง
3. Cปวดท้องน้อยด้านขวา
4. Dปัสสาวะมากขึ้น

What is a blood culture used to detect?

1. ABacteria or fungi in the bloodstream
2. BThe level of glucose in the blood
3. CThe patient's blood group
4. DThe number of red cells

A nurse finds a patient lying on the floor beside the bed. What should be done first?

1. ALift the patient straight back into bed so they are comfortable
2. BComplete the incident report form
3. CCheck the patient for injuries before moving them
4. DPhone the patient's family

In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?

1. AA fasting cholesterol level
2. BBlood cultures
3. CA stool sample for occult blood
4. DA 24-hour urine collection

Why are older adults at higher risk of dehydration?

1. ATheir kidneys hold on to too much water
2. BTheir body water content increases with age
3. CTheir sense of thirst is often reduced
4. DThey always drink large amounts of tea

A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?

1. ATo protect the heart muscle directly; the patient must be kept nil by mouth
2. BTo remove potassium from the body; urine output must be stopped for a time
3. CTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia
4. DTo treat hidden diabetes; HbA1c must be checked daily

A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?

1. A"If I get a temperature, I'll take paracetamol and wait until my next clinic."
2. B"I will wash my hands well before eating and after using the toilet."
3. C"I will phone the helpline if I have a fever or shivering."
4. D"I will check my temperature if I feel unwell or shivery at home."